In this conversation, Gary challenged the decades-old RICE (Rest, Ice, Compression, Elevation) protocol and sparked intense discussions within the sports medicine community. This episode goes deep into the science of recovery and inflammation, exploring:

  • New research and developments regarding this entrenched protocol
  • Real-world success stories from teams and athletes who’ve abandoned ice treatment
  • Common misconceptions about inflammation and healing that still persist
  • Practical strategies for optimal recovery without ice
  • RICE Method For Injury Recovery Insights

Whether you’re an athlete, coach, healthcare professional, or someone interested in the latest developments in sports medicine, this episode will reshape your understanding of injury recovery and performance optimization.

Don’t miss this opportunity to challenge conventional wisdom and discover evidence-based approaches to recovery and performance.

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Guest Biography

Gary Reinl

Gary Reinl has spent nearly forty years in the sports-medicine field, with diverse experiences ranging from training professional athletes to pioneering the field of strength-building for women during the pregnancy year to developing rehabilitation programs for injured workers.

Additionally, his ground-breaking senior strength-building protocol has now been implemented in more than 1,000 senior living facilities. Gary has authored two previous books, Making Mama Fit [Leisure Press, 1983] and the 2007 “fat loss” book Get Stronger, Feel Younger [Rodale Press].

Gary lives in Henderson, Nevada, with his wife, Susan. He has two grown children, Mandy and Casey, and three grandchildren, Harper, Hendrick, and Eleuthera.

Show Notes from this episode

  • Introduction to the Episode and Guest 0:00
    • Dr. Barrett introduces the episode, mentioning it is a reprise from season one, featuring Gary Rienl.
    • The episode focuses on the acronym RICE (Rest, Ice, Compression, Elevation) and its potential flaws.
    • Dr. Barrett praises Gary Rienl’s book “Iced: The Illusionary Treatment Option.”
    • Gary Rienl is introduced as a former gym owner and sports medicine professional with a background in athletics.
  • Gary Rienl’s Background and Transition to Sports Medicine 2:24
    • Gary Rienl discusses opening his gym in 1973 and his early involvement with athletes.
    • He explains his transition from working with athletes to focusing on muscle stimulation technology.
    • Gary’s curiosity about the RICE protocol led him to question its effectiveness and explore alternatives.
    • He highlights the limitations of the RICE protocol, particularly with ice application on musculoskeletal injuries.
  • Critique of the RICE Protocol 5:02
    • Gary Rienl delves into the ineffectiveness of the RICE protocol, starting with the “R” for rest.
    • He argues that rest actually hinders healing by slowing lymphatic and vascular flow.
    • The “C” for compression is also criticized, as it can restrict blood flow necessary for healing.
    • The “E” for elevation is questioned, as it does not align with the passive lymphatic system’s function.
  • Historical Context and Adoption of the RICE Protocol 1:00:47
    • Dr. Barrett and Gary Rienl discuss the historical adoption of the RICE protocol.
    • The protocol gained popularity after a significant event involving a severed arm in 1962.
    • Dr. Merkin’s 1978 sports medicine book formalized the RICE protocol, which was then widely accepted.

    • The protocol’s widespread use in sports medicine and among the general public is highlighted.
  • Challenges and Resistance to Changing the RICE Protocol 1:01:10
    • Gary Rienl recounts the initial resistance from sports medicine professionals to his anti-RICE message.
    • He shares a story about a Major League Baseball player whose recovery improved after stopping the RICE protocol.
    • The success of this case led to wider acceptance of his methods among professional sports teams.
    • Gary emphasizes the importance of muscle activation over ice and rest for recovery.
  • Scientific Evidence and Practical Applications 1:02:00
    • Gary Rienl explains the scientific basis for his methods, including the role of muscle activation in decongesting the area.
    • He describes specific muscle activation techniques, such as ankle pumps and stimulation pads.
    • The importance of maintaining muscle activation to prevent disuse atrophy and promote healing is discussed.
    • Gary highlights the need for a comprehensive approach to recovery, focusing on preventing further loss and regenerating damaged tissue.
  • Impact on Professional Sports and Broader Adoption 1:02:16
    • Gary Rienl discusses the impact of his methods on professional sports, including Major League Baseball and other leagues.
    • He shares success stories from athletes who have benefited from his methods, including a rapid recovery from a quad tear.
    • The broader adoption of his methods in collegiate and military settings is mentioned.
    • Gary emphasizes the importance of making his information freely available to help more people understand and adopt his approach.
  • Future Directions and Personal Commitment 1:02:31
    • Gary Rienl shares his plans for future work, including a new book on dealing with uncooperative doctors.
    • He stresses the importance of patients taking responsibility for their recovery and seeking out evidence-based methods.
    • Gary’s personal commitment to helping athletes and patients through his work is highlighted.
    • The conversation concludes with a discussion on the importance of continuing to challenge and improve medical protocols.

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